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FEC Form 1 for American Academy of Neurology BrainPACForm 1 for American Academy of Neurology BrainPAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-782522


1. American Academy of Neurology BrainPAC

    NOTE:Commmittee Name is different than previously reported

    509b 2nd St NE
    Lower Level
    Washington, DC 20002

    NOTE: Address is different than previously reported

    Email: mamery@aan.com

    NOTE: Email address is different than previously reported

2. Date: 05/10/2012

3. FEC Committee ID #: C00435933 This committee is a separate segregated fund. Its connected organization is a Trade Association
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

American Academy of Neurology
201 Chicago Avenue South
Minneapolis, Minnesota 55415
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Mr. Rod Larson
201 Chicago Avenue South
Minneapolis, MN 55415
Title: Chief Health Policy
Phone # (612) 928-6093

Treasurer:

Mr. Timothy J. Engel
201 Chicago Avenue South
Minneapolis, Minnesota 55415
Title: CFO
Phone # (612) 928-6023

Designated Agent(s):

Gena Holland
201 Chicago Ave S
Minneapolis, Minnesota 55415
Title: Controller
Phone # (612) 928-6002

Banks or Depositories

US Bank
P.O. Box 1800
St. Paul, Minnesota 551010080

Signed: Mr. Timothy J. Engel
Date Signed: 05/10/2012
Official Committee URL: www.BrainPAC.org

NOTE: URL is different than previously reported

(End FEC FORM 1)


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